Parent-child Relationship Quality Research Articles

The determination of six-year-old enuretic children's experiences using the dramatization method

IntroductionEnuresis nocturna (NE) is a condition in which a child over the age of five wets the bed at least two nights a week for at least three months. Physical diseases, deep sleep, familial predisposition, psychological reasons, separation from parents, fear, traumatic experiences, sibling jealousy, inadequate-irregular toilet training are effective in the emergence of NE. ObjectiveThe aim of this study was to determine the prevalence of NE in 66-72-month-old children attending kindergarten, to examine the variables associated with NE, and to identify the feelings, thoughts and experiences of enuretic children. Study designThe research was conducted as a mixed method. The research consists of two stages. In the first stage, parents were asked to fill in the questionnaire form and the scale related to the research. In the second stage, the dramatization method was applied with wooden dolls with child-mother-father-sibling figures with 10 children who received permission from their parents and volunteered to participate in the study. After the children were asked to complete the pre-structured stories, their expressions were transcribed. Independent themes were created by two experts in the field and the themes were reorganized after they were brought together.The research was conducted as a mixed method. The research consists of two stages. The first stage was a descriptive study in which a questionnaire form and the SAAS-P scale were used and completed by the parents. In the second stage, dramatization method was applied with 10 enuretic children. The expressions of the children were transcribed and the mental representations in the child were determined. Independent themes were created by two experts in the field, and then the themes were brought together and reorganized. ResultsThe NE rate of the group of 86 children was 23%. According to the results obtained, children with nocturnal enuresis had high separation anxiety and fear of abandonment (p<0.05). The siblings of children with nocturnal enuresis also had nocturnal enuresis problems and their parents had enuresis problems in their childhood (p<0.05). When the mental representations in the child were analyzed using the dramatization method, the following themes emerged: "Emotion-Thought", "Reason for enuresis according to the child", "Support and precautions", "Social life". DiscussionNE is one of the most common disorders in childhood. The NE rate in this study is higher than the average. The small number of the sample group may affect the results. The results of the study regarding the variables are consistent with the literature. It is important to treat enuresis in a short time. In addition, appropriate interventions for separation anxiety and fear of abandonment in enuretic children may be recommended. The limitation of the study is that these findings cannot be generalized as they are the result of the application in a small group. This study may sensitize professionals to the problem of how the child and family think and feel about the problem of enuresis nocturna. ConclusionThis is the first study to describe mental representations in enuretic children aged 6 years using the dramatization method. The main findings are that incontinence can cause shame and anxiety in children with this condition and that the family environment contributes to this. In this case, recognizing and managing anxiety is crucial for successful treatment. Increasing the self-esteem of enuretic children and improving the quality of parent-child relationships may reduce the incidence of psychological problems in the child in the future.

A systematic review and meta-analysis of the effectiveness of interventions targeting the parent-child relationship in families of children with an intellectual disability.

The review aimed to investigate the effectiveness of parent-child relationship interventions for families of children with intellectual disability up to 12 years old. Quasi-experimental or randomised controlled trials (RCTs) of interventions targeting the parent-child relationship where ≥50% of children had an intellectual disability were included. Meta-analyses of parent-child relationship outcomes and child outcomes used standardised mean difference as the effect size. Twenty-seven papers were included (N = 1325). Parent-child relationship outcomes improved significantly (n = 1325; g = 1.08, 95% CI: 0.64, 1.52) with a large effect size that was robust to sensitivity analyses. Child developmental outcomes improved significantly (n = 1082; g = 0.65, 95% CI: 0.23, 1.07), and indicated a large effect size for child socialisation and communication. Findings suggest that interventions targeting parent-child relationship quality are associated with substantial improvements in parent-child relationship and may improve child outcomes related to socialisation and communication.

Lability in parent-child warmth and hostility and adolescent externalizing behaviors.

Both longer term developmental changes (increases in hostility, decreases in warmth) and lability (year-to-year fluctuations) in parent-child relationship quality across childhood and adolescence have been linked to adolescent externalizing behaviors. Using a prospective longitudinal study of 561 children who were adopted into nonrelative families at birth (57% male, 56% White, 19% multiracial, 13% Black, 11% Hispanic) where parental warmth and hostility reflect environmental influences or child-evoked reactions, we examined associations between parent-child relationship measures and externalizing behaviors at age 11 and across adolescence (i.e., from age 11 to 13-15 years). Because studies considering gene-environment interplay especially in associations between lability and child externalizing behaviors are sparse and parent-child relationship measures support the intergenerational transmission of psychopathology, we also tested whether parent psychopathology of both adoptive parent (AP; environmental intergenerational transmission) and birth parents (genetic intergenerational transmission) moderated these associations in multivariate regression models. Findings generally supported more effects of fathers' than mothers' warmth and hostility. Although there were some linear associations of increased lability with externalizing behaviors, these did not persist in the context of a multivariate model. Associations between both parents' increasing hostility across childhood on age 11 externalizing behaviors and for fathers increasing hostility and decreasing warmth on increases in externalizing behaviors across adolescence more likely reflect a combination of bidirectional evocative and parenting environmental associations than purely parenting environmental transmission. Moderation by parent psychopathology was sparse, and sensitivity tests revealed no differences by child sex. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Shared Households in the U.S.: A New Perspective on Family Structure and Adolescent Substance Use

Research on the family structure–adolescent substance use association has largely neglected shared households—those in which non-parent adult figures live in the home—even though the number of these households has increased substantially in the U.S. Using data from the state of Florida, we assessed the association between several shared household structures and adolescent substance use, along with whether their associations were mediated by parent-child relationship quality or parental monitoring/discipline. Adolescents in shared family households, especially when a parent did not reside in the home, manifested a higher odds of marijuana use and vaping than those in two-parent households. Monitoring/discipline partly mediated the household structure effects, suggesting that engaging in high levels of monitoring can lower the risk of substance use even in families without two parents.

The impact and mechanisms of parent-child relationship quality and its changes on adolescent depression: A four-wave longitudinal study.

Parent-child relationships play a crucial role in shaping adolescent depression. However, existing research has predominantly focused on isolated time points when examining the impact of parent-child relationship quality, overlooking the effect of parent-child relationship changes on depression. Using a four-wave longitudinal study of 951 adolescents, the current study investigated the impact of parent-child relationship quality and its changes on adolescent depression, while also examining the moderating role of interpersonal sensitivity and potential gender differences in these moderation patterns. Herein, we report that higher parent-child relationship quality is associated with lower levels of adolescent depression, while parent-child relationship changes are linked to higher depression. Interpersonal sensitivity moderates the association between parent-child relationship quality, relationship changes, and depression, with the moderation varying by gender. Specifically, in males with high interpersonal sensitivity, parent-child relationships negatively predict depression, while relationship fluctuations positively predict depression. In females with high interpersonal sensitivity, a rapid decline in the quality of the parent-child relationship seems to be associated with an increase in depression. The present study highlights the impact and mechanisms of parent-child relationship quality and its effects on depression, and provides a reference for the intervention of depression based on parent-child relationship changes.

Parental Influences on Substance Use Among First-Year College Students: A Latent Profile Analysis and Racial/Ethnic Differences

This study took a person-centered approach to examine parental influences on alcohol and cannabis use among White and Hispanic/Latinx college students. 704 college students (74.4% female; 34.7% Hispanic/Latinx) completed an online survey. Latent profile analysis identified four parenting profiles characterized by different patterns of perceived parent-child relationship quality, parental monitoring, and parental disapproval of substance use: low disapproval (4.1%), low paternal quality and monitoring (25.8%), low quality and monitoring (12.5%), and high quality monitoring and disapproval (57.6%). Students in the High Quality Monitoring and Disapproval profile had the lowest levels of alcohol consumption and alcohol use disorder (AUD) symptoms. Students in the Low Disapproval profile had the highest frequency of cannabis use than students in other parenting profiles. Among Hispanic/Latinx students only, the High-Quality Monitoring and Disapproval profile was associated with fewer AUD symptoms compared to the Low Paternal Quality and Monitoring profile and the Low Quality and Monitoring profile.

Longitudinal pathways between parent depression and child mental health in families of autistic children

Abstract Autistic children and their parents are at risk for mental health problems, but the processes driving these connections are unknown. Leveraging three data cycles (spaced M = 11.76 months, SD = 2.77) on 162 families with autistic children (aged 6–13 years), the associations between parent–child relationship quality (warmth and criticism), child mental health problems, and parent depression symptoms were examined. A complete longitudinal mediation model was conducted using structural equation modeling. Father depression mediated the link between child mental health problems and father critical comments (β = −0.017, p = 0.018; CI [−.023 – −.015]). Father report of child mental health problems mediated the association between father depression and father critical comments (β = 0.016, p = 0.040; CI [0.003–0.023]) as well as the association between father positive remarks and father depression (β = −0.009, p = 0.032; CI [−0.010 – −0.009]). Additionally, father positive remarks mediated the connection between father depression and child mental health problems (β = 0.022, p = 0.006; CI [0.019–0.034]). No mediation effects were present for mothers. Findings highlight that the mental health of parents and autistic children are intertwined. Interventions that improve the parent–child relationship may reduce the reciprocal toll of parent and child mental health problems.

Parent-child relationship quality and older parents’ cognitive trajectories

This study assesses the bidirectional link between parent-child relationship quality and older parents’ cognitive trajectories over time, with particular attention to potential variations by parents’ gender. Methods: Using a longitudinal, nationally representative sample of parents aged 50 and older from the Health and Retirement Study 2006–2016, the analysis examines three dimensions of the relationship quality between parents and children—contact, support, and strain—in relation to parents’ cognitive function. Parallel latent growth curve models (LGCMs) estimate how baseline relationship quality relates to subsequent change in parents’ cognition and how parents’ baseline cognitive function relates to subsequent change in relationship quality over time. Results: Higher initial levels of relationship strain with children predicts a faster cognitive decline for older parents. Neither initial contact frequency nor initial relationship support is associated with subsequent change in a parent’s cognition, however, good cognitive function predicts a more rapid increase or a slower decline in contact frequency and relationship support over time. No gender difference was found. Conclusion: The results highlight the importance of the “linked lives” of aging parents and their children as well as the potential for bidirectional associations between cognition and family relationships.

A Pathway to Positive Youth Development: Unpacking the Asian American Youth Paradox and Cultural Orientations among Filipino American and Korean American Youth.

This study used longitudinal survey data of Filipino American and Korean American youth in the Chicago Metropolitan area (N = 786, MAGE = 15.00, SD = 1.91 at Wave 1 in 2014) to examine whether and how a set of organized predictors (i.e., universal predictors of youth outcomes and cultural orientations) independently and collectively explains internalizing and externalizing problems and academic performance. The results were that universal predictors such as youth antisocial beliefs, peer antisocial behaviors, and the quality of parent-child relations, were extensively predictive of youth outcomes in the expected directions. The magnitudes of universal predictors were largely unchanged when bilinear and multidimensional cultural orientation variables were accounted for together. The magnitudes of cultural orientation variables were slightly attenuated in full models but showed independent associations with youth outcomes. Specifically, English and heritage language proficiencies were protective of externalizing and internalizing problems. Behavioral practices in respective cultures increased youth problems. In addition, ethnic identity, although beneficial to mental health, can increase externalizing problems. The findings of this study provide insights into understanding the mixed outcomes among Asian Americans and important empirical evidence that can inform intervention programs to prevent youth problems, ultimately toward a pathway to positive youth development among Asian American youth.

Predicting fidelity and treatment outcomes in savoring interventions among mothers of young children

Savoring impacts parents' emotions and parent-child relationship quality. Using data from a randomized controlled trial (N = 164 mothers of 18-27-month-olds, 37 interveners) conducted with a community sample in the United States, this study examined predictors of fidelity and treatment outcomes across two savoring preventative interventions (relational savoring and personal savoring). Treatment outcome indicators were selected from a battery administered immediately post-intervention (maternal closeness to child) and at a 3-month follow-up (maternal sensitivity, reflective functioning). We examined whether intervener education level (bachelor's degree/no bachelor's degree) predicted fidelity (Research Question 1), whether intervener education level predicted treatment outcomes (Research Question 2), and whether fidelity predicted treatment outcomes (Research Question 3). In many cases, intervener education background was not related to fidelity or treatment outcome; however, interveners without bachelor's degrees showed greater adherence to the protocols on some scales (higher positivity, higher secure base, higher calm matching) and sessions with these interveners were associated with greater increases in maternal sensitivity. Regardless of the intervener education level, redirecting attention to the positive and calmly matching participants' tone were associated with higher maternal reflective functioning, and higher secure base scores were associated with greater closeness. Findings have implications for the training and implementation of prevention programs for parents.

Should We Track Our Children?: An Exploratory Examination of Life360 and Interpersonal and Relational Well-Being

Studies on social media have found that monitoring can be damaging for close relationships. In the context of family relationships, however, studies have recommended that parents increase their electronic supervision for their children. Theoretically, teenagers are seeking independence, so tracking them may hinder their development and/or prompt resentment. The purpose of the current study is to examine how using Life360, a mobile tracking application, relates to the quality of parent-child relationships. Quantitative data comes from 285 participants (Mean age = 20.49; SD = 2.84) who completed an online survey regarding the degree to which their parents used Life360 during high school and college, their mental well-being, and measures of the parent-child relationship. Correlation analyses revealed a positive relationship between parents using Life360 and parental involvement and connectedness. Additionally, self-esteem was negatively associated with parents’ reaching out to their children as a result of Life360. However, regression analyses revealed few relationships between Life360 behaviors, mental health, and the parent-child relationship. Implications for parents, teenagers, and family counselors will be discussed.

Overparenting and romantic relationships in emerging adulthood: Roles of relationship efficacy and parent–child relationship quality

AbstractObjectiveGuided by the theory of emerging adulthood and social cognitive theory, we investigated whether overparenting was associated with romantic relationship quality among emerging adults through relationship efficacy and dependent on parent–child relationship quality.BackgroundEstablishing healthy and lasting intimate relationships is one of the primary developmental tasks during emerging adulthood. Although it is well established that overparenting has negative implications for emerging adults' psychological adjustment, researchers know little about the relationship between overparenting and romantic relationship outcomes during emerging adulthood.MethodThis study used data from a sample of college students (N = 378, Mage = 19.91, SD = 1.23) collected at two time points over a 12‐week interval from a large university in a southeast region of the United States. The majority of the participants were female and White.ResultsResults from structural equation modeling showed that overparenting was negatively associated with later romantic relationship quality through lower relationship efficacy. The negative association between overparenting and relationship efficacy was stronger for those who reported experiencing better parent–child relationship quality.ConclusionOur study further highlights the importance of exploring linkages between overparenting and relational functioning among emerging adults and extends the literature by considering the conceptual context of overparenting through the lens of parent–child relationship quality.ImplicationsPractitioners, therapists, and educators in higher education institutions should promote college students' relational well‐being by highlighting the necessity of considering the role of overparenting behavior in treating or counseling college students' romantic relationship difficulties.

Childhood executive control and adolescent substance use: Mediation via parent–child relationship quality

AbstractObjectiveThe goal of the current study was to test prospective direct and indirect associations between preschool executive control (EC), parental affective quality and harsh discipline, and adolescent substance use (e‐cigarettes, cannabis, and alcohol) while accounting for participants' age, sex, family history of substance use, and family socioeconomic status.MethodParticipants were 313 youth (49% boys; 70.9% European American) and their parents who participated in a longitudinal cohort‐sequential study on the development of EC in preschool and its associations with subsequent health outcomes. Substance use initiation and frequency (e‐cigarettes, cannabis, and alcohol) were obtained via phone surveys from youth who participated in adolescent assessments. Parental affective quality and harsh discipline were obtained from parental questionnaires in adolescence.ResultsThe direct effects from preschool EC on adolescent substance use were statistically nonsignificant for e‐cigarettes, cannabis, and alcohol. Mediation analyses revealed a statistically significant indirect effect from preschool EC to adolescent use of e‐cigarettes through harsh discipline (b = −0.07 [95% CI = −0.18; −0.01]; β = −0.04). The associations between preschool EC and any of the substance use outcomes in adolescence through parental affective quality were nonsignificant.ConclusionsThis study fills significant gaps in the emerging literature on longitudinal contributions of child characteristics to parenting behaviors, suggesting that early EC deficiencies may elicit more harsh discipline during adolescence, ultimately leading to higher adolescent engagement in e‐cigarette use.

P-482 Construct validity of the donor conception identity questionnaire and its association with searching for and finding donor connections

Abstract Study question Is there an association between donor conception identity, psychological and social wellbeing, and searching for and finding donor connections? Summary answer Donor conceived individuals differ on key domains that tap into aspects of their donor conception identity. These relate to searching for and finding donor connections. What is known already There is variation in the ways that donor conceived individuals feel about their conception. Factors such as the age of disclosure are associated with how donor conceived individuals feel about being donor conceived. Associations have been found between donor conception identity and parent-child relationship quality among adolescents, suggesting that curiosity and negativity about donor conception are influenced by the valence of the parent-child relationship. The Donor Conception Identity Questionnaire (DCIQ) has not been previously validated. Study design, size, duration 88 donor conceived adults in the UK participated in a cross-sectional study using an online multi-method survey. Data were collected between January and August 2022. The survey was advertised by the Donor Conception Network and Donor Conceived Register Registrants’ Panel via mailing lists and social media and circulated by the research team and others on social media and university mailing lists. The present findings draw from a subsection of the data collected from this survey. Participants/materials, setting, methods Most participants identified as female (n = 65,74%) and were conceived using donor sperm (n = 79,90%). Participants completed the 25-item DCIQ (adapted from studies of donor conception and adoption identity), and the Mental Health Continuum, the Satisfaction with Life Scale, and adapted versions of the community connectedness and pride subscales of the Gender Minority Stress and Resilience Measure and the HIV Stigma Scale. Participants reported on whether they had searched for and/or found donor connections. Main results and the role of chance Factor analysis of items on the DCIQ identified four domains: 1. Concern and centrality, 2. Internalised stigma, 3. Pride and acceptance, and 4. Openness and understanding. ‘Concern and centrality’ correlated positively with community connectedness (r(86)= 283, p=.008), and stigma (r(86)= 280, p= .008), and negatively with pride (r(86) =-.398, p&amp;lt;.001). ‘Internalised stigma’ was positively correlated with stigma (r(86)=.858, p&amp;lt;.001) and negatively correlated with psychological wellbeing (r(85)=-.378, p &amp;lt;.001), satisfaction with life (r(86)= -.263, p=.013) and pride (r(86)=-716, p&amp;lt;.001). ‘Pride and acceptance’ was positively correlated with psychological wellbeing (r(85) = .276, p = .010), satisfaction with life (r(86)=.329, p =.002) and pride (r(86)=.800, p&amp;lt;.001), and negatively correlated with stigma (r(86)=-.396, p &amp;lt;.001). ‘Openness and understanding’ was positively correlated with psychological wellbeing (r(85)=.304, p=.004), satisfaction with life (r(86)=.316, p=.003), and pride (r(86)=.584, p&amp;lt;.001) and negatively correlated with stigma (r(86)=-.614, p&amp;lt;.001). Searchers scored higher than non-searchers on ‘concern and centrality’ F(1, 79) = 7.543, p= .007 and ‘internalised stigma’ (F(1, 79)=4.355, p=.040). Donor conceived individuals who had found donor connections scored lower on ‘internalised stigma’ F(1, 79) = 7.071, p=.009 and higher on ‘openness and understanding’ (F(1, 79)=6.083, p=0.016) compared to those who had not found their donor connections. Limitations, reasons for caution Lack of diversity within the sample with regards to participant gender, age, and donation type means that findings may not apply across donor conceived populations. The sample were self-selected. Causal relationships between variables cannot be established. Wider implications of the findings The DCIQ may be useful to understand variation in donor conceived people’s psychological health and interest in their donor. The value of the measure in a practical context (e.g., in counselling) should now be evaluated. Further work to validate the scale across different contexts and with different populations is recommended. Trial registration number the UK Economic and Social Research Council [New Investigator Award ES/S015426/1

A longitudinal study of child adjustment during the COVID-19 pandemic: the protective role of the parent-child relationship in middle childhood

ABSTRACT This longitudinal study assessed how parent-child relationship quality during the first COVID-19 lockdown was related to changes in internalizing, externalizing, and sleep problems during the first months of the pandemic: during lockdown, partial deconfinement, and total deconfinement. Participants included 167 children (9–12 year) and their parents recruited in the province of Quebec, Canada. Child behavior problems decreased between lockdown and the two deconfinement assessments, but more sleep and behavior problems were associated with lower levels of relationship quality (more conflict, less closeness, and more insecure attachment). Significant interaction effects showed that changes in externalizing and sleep problems varied as a function of parent-child relationship. Results support the critical importance of the parent-child relationship with regard to child adjustment in middle childhood in times of crisis such as a pandemic. They also highlight resilience in children aged 9 to 12, with a decrease in problems over time.

Exposure to community violence and parenting behaviors: A meta-analytic review.

This meta-analysis examines the association between exposure to community violence and parenting behaviors (i.e., positive parenting, harsh/neglectful parenting, parent-child relationship quality, and behavior control). A systematic search yielded 437 articles that measured community violence exposure before or at the time of parenting, assessed parenting, and were available in English. There were 342 effect sizes across parenting constructs: positive (k = 101; 68 studies), harsh/neglectful (k = 95; 60 studies), relationship quality (k = 68; 41 studies), and behavior control (k = 78; 51 studies), from 160 reports representing 147 distinct studies. Results of the three-level meta-analyses found small but significant effects between community violence and positive parenting (r = -.059, 95% CI [-.086, -.032]; 95% PI [-.268, .151]), harsh/neglectful parenting (r = .133, 95% CI [.100, .166]; 95% PI [-.107, .372]), parent-child relationship quality (r = -.106, 95% CI [-.145, -.067]; 95% PI [-.394, .182]), and behavior control (r = -.047, 95% CI [-.089, -.005]; 95% PI [-.331, .237]). The association between exposure to community violence and harsh/neglectful parenting and behavior control was moderated by the type of exposure to community violence, informant or source of community violence and parenting data, child age, sex, and race/ethnicity. Given the substantial degree of heterogeneity in overall effect sizes, implications for policy and intervention are tentatively considered while emphasizing that more empirical research on the association between community violence and parenting is essential for advancing the field. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Exploring Retrospective Parenting Styles and Parent-Child Relationship Quality as Correlates of Chinese Adults’ Current Psychological Distress: Influence of Family-of-Origin?

Exploring Retrospective Parenting Styles and Parent-Child Relationship Quality as Correlates of Chinese Adults’ Current Psychological Distress: Influence of Family-of-Origin?

Social, Demographic, and Psychological Factors Associated with Middle-Aged Mother's Vocabulary: Findings from the Millennium Cohort Study.

Based on a sample of 8271 mothers, this study explored a set of psychological and sociodemographic factors associated with their vocabulary, drawing on data from a large, nationally representative sample of children born in 2000. The dependent variable was maternal vocabulary assessed when cohort members were at fourteen years of age, and the mothers were in their mid-forties. Data were also collected when cohort members were at birth, 9 months old, and at ages 3, 7, 11 and 14 years. Correlational analysis showed that family income at birth, parent-child relationship quality at age 3, maternal educational qualifications at age 11, and maternal personality trait Openness at age 14 were significantly and positively associated with maternal vocabulary. It also showed maternal malaise at 9 months and children's behavioral adjustment at age 7, and maternal traits Neuroticism and Agreeableness at age 14 were significantly and negatively associated with maternal vocabulary. Maternal age was also significantly and positively associated with vocabulary. Regression analysis showed that maternal age, malaise, parent-child relationship quality, children's behavioral adjustment, maternal educational qualifications, and traits Openness and Agreeableness were significant predictors of maternal vocabulary, accounting for 33% of total variance. The implications and limitations are discussed.

Considering Contextual Influences on Fatherhood Program Participants’ Experiences

The current study assessed multiple changes over 1 year for fatherhood program participants and explored variations in challenges at program start, retention, and improvements in outcomes based on geographic setting, race, and sequencing of services. In a sample of 630 racially diverse fathers, we found enhanced economic vulnerability of urban fathers and Black/other minority fathers, and greater individual and work-related challenges for White fathers at program start. Results from growth modeling indicated fathers reported sustained growth over 1 year in nearly all measures assessed including relationship skills and functioning, hope for ensuring a positive future, father involvement and parent-child relationship quality, child academic adjustment, and commitments and ability to meet financial obligations. Evidence of enhanced benefit of programs in multiple areas over time for rural and White participants, compared with Black/other minority and urban fathers is presented. Results also indicate receiving case management first enhances fathers’ attendance and retention in program classes.

US Immigration Policy Stressors and Latinx Youth Mental Health

The youth mental health crisis is exacerbated for Latinx adolescents, a group whose families are targets of anti-immigrant rhetoric and policy. To investigate how immigration-related stressors are associated with disruptions in parent-child relationships and, in turn, the mental health symptoms of Latinx adolescents. Data for this prospective cohort study of adolescent-mother dyads were derived from surveys completed at 3 time points spanning 4 years (time 1 [T1] in 2018, time 2 [T2] in 2020, and time 3 [T3] in 2022). Mediation analyses estimated paths from immigration-related stressors to parent-child relationship qualities to mental health symptoms from early to late adolescence. Multivariable and multivariate linear models within a structural equation modeling framework regressed mediators and outcome variables on their own T1 values, offering a scientifically rigorous test of mediation. The setting was a school district in suburban Atlanta, Georgia, and included Latinx adolescents (ages 11-16 years) randomly selected from grade and gender strata. Data were analyzed from June 2023 to March 2024. The primary independent variables were T1 mother reports of anti-immigrant worry and behavioral modification and adolescent reports of family member detention or deportation. Mediating variables were the reports of parental support and parent-child conflict of T2 adolescents. T3 adolescent reports of past 6-month internalizing and externalizing symptoms. A total of 547 Latinx adolescents (mean [SD] age, 13.3 [1.0] years; 303 female [55.4%]; 244 male [44.6%]) were included in this study. Response rates were 65.2% (547 of 839) among contacted parents and 95.3% (547 of 574) among contacted adolescents with parental permission. Four-year retention rates were 67% (366 of 547 adolescents) and 65% (177 of 271 mothers). Structural model results showed that T1 anti-immigrant worry and behavioral modification was associated with T3 increases in externalizing symptoms indirectly through T1 to T2 increases in parent-child conflict (β = 0.03; SE = 0.02; 95% CI, 0-0.08). For girls, T1 family member deportation or detention was associated with T1 to T3 increases in internalizing and externalizing symptoms indirectly through T1 to T2 declines in parental support (internalizing: β = 0.04; SE = 0.02; 95% CI, 0-0.08; externalizing: β = 0.03; SE = 0.02; 95% CI, 0-0.07). Sensitivity analyses supported structural model findings. Results of this cohort study suggest that legislative bodies, the health care system, and educational institutions should implement safeguards to mitigate potential harm conferred by anti-immigrant environments for parent-child relationships and, in turn, Latinx adolescents' mental health.